BROOK LANE HEALTH SERVICES, INC. (NPI# 1316918048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316918048 |
| Entity Type | Organization |
| Organization Name | BROOK LANE HEALTH SERVICES, INC. |
| Practice Address |
13215 Brook Lane Hagerstown MD 21742-1435 |
| Mailing Address |
13121 Brook Lane Hagerstown MD 21742-1435 |
| Practice Telephone | 3017330330 |
| Practice Fax Number | 3017334038 |
| Mailing Telephone | 3017330330 |
| Mailing Fax Number | 3017334038 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2015-11-23 |
| Authorized Official Name | MRS. KRISTY L POFFENBERGER (MANAGED CARE COORDINATOR) |
| Authorized Official Telephone | 3017330331 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 21-002 | MD | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 063503100 | 05 |
| Street Address |
13215 BROOK LANE |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-1435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225509748 | Brienne Superczynski | Social Worker | 13215 Brook Lane, Hagerstown, MD 21742 | 2018-12-10 |
| 1144703109 | Brook Lane Behavioral Services, Inc. | Psychiatric Hospital | 13215 Brook Lane, Hagerstown, MD 21742-1495 | 2018-09-14 |
| 1962985929 | Brook Lane Behavioral Services, Inc. | Psychiatric Unit | 13215 Brook Lane, Hagerstown, MD 21742 | 2018-09-14 |
| 1538647748 | Brook Lane Behavioral Services, Inc. | Counselor | 13215 Brook Lane, Outpatient Services, Hagerstown, MD 21742 | 2018-07-31 |
| 1114412301 | Katherine E Loutrel | Social Worker | 13215 Brook Lane, Hagerstown, MD 21742 | 2018-06-29 |
| 1659876951 | Adam Delauter | Social Worker | 13215 Brook Lane, Hagerstown, MD 21742-1514 | 2018-03-28 |
| 1790280261 | Elisabeth C Mccall Martin | Social Worker | 13215 Brook Lane, Hagerstown, MD 21742-1514 | 2018-03-27 |
| 1346756467 | Shawn M Burke | Social Worker | 13215 Brook Lane, Hagerstown, MD 21742 | 2017-12-27 |
| 1932653086 | Kaitlin Elizabeth Carlson | Social Worker | 13215 Brook Lane, Hagerstown, MD 21742-1514 | 2016-08-06 |
| 1871940197 | Meghan Egerton | Social Worker | 13215 Brook Lane, Hagerstown, MD 21742-1514 | 2016-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144703109 | Brook Lane Behavioral Services, Inc. | Psychiatric Hospital | 13215 Brook Lane, Hagerstown, MD 21742-1495 | 2018-09-14 |
| 1861643595 | Brook Lane Health Services/stonebridge | Psychiatric Hospital | 13218 Brook Lane Drive, Hagerstown, MD 21742-1945 | 2008-09-30 |
| 1558333138 | Brook Lane Health Services | Psychiatric Hospital | 13215 Brook Lane, Hagerstown, MD 21742-1435 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780236992 | Anne Arundel Mental Health Hospital, Inc. | Psychiatric Hospital | 175 Harry S. Truman Pkwy, Annapolis, MD 21401-7305 | 2019-07-09 |
| 1811345697 | Department of Behavorial Health,st Elizabeth Hospital Dc | Psychiatric Hospital | 1519 Heather Hollow Cir, Apt 14, Silver Spring, MD 20904-2366 | 2016-06-02 |
| 1366792251 | Lauren Marie Matthews | Psychiatric Hospital | 12524 Triple Crown Rd, North Potomac, MD 20878-3746 | 2012-09-18 |
| 1578810693 | Wrnmmcb | Psychiatric Hospital | Bldg 19 Room 6407 8901 Wisconsin Ave, Department of Psychiatry, Bethesda, MD 20889 | 2012-08-08 |
| 1558648410 | Brook Lane Behavioral Services, Inc. | Psychiatric Hospital | 4540b Mack Avenue, Frederick, MD 21701 | 2011-11-07 |
| 1588810972 | Dhmh Upper Shore Community Mental Health | Psychiatric Hospital | 300 Scheeler Road, Chestertown, MD 21620 | 2008-08-18 |
| 1356446132 | Veterans Administration | Psychiatric Hospital | Bldg 364 Ave. D, Perry Point, MD 21902 | 2006-09-14 |
| 1851324164 | Sheppard Pratt Health System, Inc. | Psychiatric Hospital | 4100 College Ave, Ellicott City, MD 21041-0836 | 2006-07-09 |
| 1629009311 | Daniel S Smithpeter Md | Psychiatric Hospital | 29466 Pintail Drive, Ste 9, Easton, MD 21601 | 2006-07-05 |
| 1760468623 | Comptroller of Maryland Central Payroll Bureau | Psychiatric Hospital | 630 W Fayette St, Baltimore, MD 21201 | 2005-12-21 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.